| Last Name |
|
| First Name |
Middle Initial
|
| Contact Phone Number |
|
| Email Address |
|
Last school attended
|
|
| I am interested in attending as: |
|
| Level You'll be Entering at GSU: |
|
| Expected Term of Enrollment: |
|
| Year: |
|
| Are you a veteran? |
|
| Have you previously applied to GSU? |
|
If yes, indicate year
|
|
How did you hear about GSU?
(Check all that apply) |
|
| |
|
In which college are you interested?
(Check all that apply) |
|
Are you interested in Student Housing?
|
|
Questions? Contact
Julie Anderson
Governors State University
708.534.4086
janderson13@govst.edu
|